Organization
MEDICAL MOBILE SPECIALISTS S.C.
Active
Other names
Mobile Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY OSBOURNE D.P.M. (OWNER)
(262) 691-1000
Entity
Organization
Contact information
Practice address
347 PARK AVE, PEWAUKEE, WI 53072-3413
(262) 691-1000
(262) 264-5429
Mailing address
347 PARK AVE, PEWAUKEE, WI 53072-3413
(262) 691-1000
(262) 264-5429
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
122300000X
Dentist
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
152W00000X
Optometrist
—
—
207N00000X
Dermatology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
224L00000X
Pedorthist
—
—
225100000X
Physical Therapist
—
—
231H00000X
Audiologist
—
—
237700000X
Hearing Instrument Specialist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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